Percutaneous Atrial Septal Defect Closure Using the Occlutech Figulla Device in Adults: More than 800 Patient-Years of Follow-Up

Journal of Interventional Cardiology
Roel J R SnijderMartijn C Post

Abstract

The Occlutech Figulla occluder has been proven safe and effective at midterm follow-up after percutaneous atrial septal defect (ASD) closure. We describe the safety and efficacy at long-term follow-up in adults. All consecutive adult patients that underwent ASD closure between 2008 and 2015 were included. All complications were registered. Residual left-to-right shunt (LRS) was diagnosed using color-Doppler transthoracic echocardiography (TTE). Right-to-left shunting was diagnosed using contrast TTE. Successful closure was defined as no LRS at follow-up. In total, 166 patients (mean age 56.7 ± 16.1 years; 62% female) underwent percutaneous ASD closure using the Occlutech Flex I (70%) or Flex II (30%) device (diameter 24 mm; range 10-40 mm) under general anaesthesia and transoesophageal echocardiographic guidance. Long-term follow-up data were available for 144 patients (87%) with a mean follow-up of 5.9 ± 2.6 years, a total of 814 patient-years. During hospitalization, device embolization occurred in three patients (1.8%) with successful extraction in all. During the long-term follow-up, 15 patients (9.8%) suffered new-onset atrial fibrillation and stroke occurred in 2.1%. There was no residual LRS at 12-month follow-up. No dev...Continue Reading

References

Mar 11, 2006·European Heart Journal·Jan HeeringaJacqueline C M Witteman
Jan 5, 2011·Journal of Interventional Cardiology·Ben J L Van Den BrandenMaarten J Suttorp
Jan 27, 2012·The New England Journal of Medicine·Jarett D BerryDonald M Lloyd-Jones
Mar 27, 2015·World Journal of Cardiology·Roel Jr SnijderMartijn C Post
Mar 2, 2016·Journal of Interventional Cardiology·Carlos A C PedraValmir F Fontes
Oct 21, 2016·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Nikolaus A HaasChristoph M Happel
Jun 13, 2016·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Jingjin WangHao Wang
Nov 22, 2018·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Roel J R SnijderMartijn C Post
Feb 6, 2019·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Damien KennyUNKNOWN Investigators

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